Journal of the American Psychoanalytic Association

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No abstract text is available yet for this article.

No abstract text is available yet for this article.

Clinical material from the treatment of a highly destructive schizophrenic patient is used to demonstrate the role and function of therapeutic mediations in promoting transformation and symbolization. Use of the Squiggle Game as a therapeutic mediation is shown to sustain the therapeutic process and to facilitate working through of the obscure and complex dynamics commonly seen in the treatment of psychotic patients. The Squiggle Game presents a first transitional space entailing both the concreteness of psychosis and the potential for symbolization provided by psychoanalysis...

John Terry Maltsberger (1933-2016) was an American psychoanalyst who greatly influenced studies of the suicidal patient, and a suicidologist whose contributions significantly impacted psychoanalysis. Through his devotion to the understanding and treatment of suicidal people he exerted a major influence in both areas. Throughout a long and productive career, Maltsberger focused on an uncomfortable area of the psyche, that sphere that impels the attack on the self. His position in psychoanalysis stands out for his early emphasis on the patient's internal subjective experience and the dynamics of the therapeutic engagement...

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No abstract text is available yet for this article.

The historical development of psychoanalysis has demonstrated that the aim of clinical work can change as the patient population changes. One of the main tasks of psychoanalytic working through today is to help difficult patients trapped in imitative dynamics and "never-to-be-born selves" enter a life of their own. Particular emphasis is given to activating a body-mind relationship, catalyzing emergence from the unrepressed unconscious, and constructing space-time parameters in relation to the most primitive and undifferentiated emotional experiences...

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( 초록 ) 수많은 이론적-철학적 명제들이 Blatt의 광범위하고 탁월한 학문적 업적으로부터 나왔다. 그의 주요 연구 주제들은 (1) 인지, 특히 현실에 대한 마음의 지형도 혹은 표상; (2) 인본주의적인 요소들의 영향 (예컨데, 에이전시, 성장에 대한 열망, 게슈탈트, 균형 욕구 그리고 회복 탄력성); (3) 프로이트가 말한 역동적 무의식에 대한 끝없는 통찰, 이렇게 요약할 수 있을 것이다. 철학적 입장에서, Blatt은 '인지-인본주의적 정신역동'이라고 부를만한, 통합적 역량과 추종을 불허하는 업적들을 남겼다...

Chronic fatigue syndrome (CFS) presents challenges in differential diagnosis and treatment. Complicating diagnosis is that its symptoms overlap with those of depression. This study applies psychoanalytic concepts to understand emotional regulation (ER) in women with CFS and/or depression. One hundred eighty-six women were assigned to four groups and compared: (a) CFS plus high er depression (CFS-HD); (b) CFS plus lower depression (CFS-LD); (c) depressive disorder (DD); and (d) healthy controls (HC). ER was operationalized by measures of capacity to form internal representations and adaptive defenses...

While some colleges have adopted bystander intervention and restorative justice practices to address sexual misconduct as a community issue, psychoanalytic institutes facing crises of sexual misconduct have typically relied on the tried-and-true tactic of identifying the neoliberal individual as the sole site of trouble. Successful strategies used in colleges can be applied to the psychoanalytic setting by focusing on institutional betrayal. This systemic, community-based approach decenters not only individual bodies but human subjectivities...

The Nicholas Young phenomenon involves an immediate shift in dreams to more regressive mental functioning whenever, in the manifest ideational content, the dreamer or protagonist crosses a topographical boundary or threshold (spatial translation). This phenomenon thus furthers the regression typical in dreams. Eight examples of the Young phenomenon are presented. An attempt to explain this highly specialized phenomenon addresses dreams in series, or dream sections in series, and refers to Scherner's Law, which covers their sequential trend toward regression...

This paper discusses stage fright as seen primarily in classical music performers. A confluence of narcissistic sensitivities, developmental issues, shame dynamics, physical injury and pain, and terrors pertaining to both psychic and bodily disintegration can fuel anxiety reactions in many people but hold particular relevance for the performing musician. Two classical music performers who struggled with stage fright are discussed: one was in treatment with the author; the other is the author herself, reflecting on her own performance anxiety as revealed through her analysis and her countertransference to her patient...

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Play in the context of the patient's sense of absence, loss, and compromised capacities for symbolization can be a link between unsymbolized experience and greater capacities for representation. Winnicott's concepts of play evolved as one of the ways that analysts translate unconscious and unrepresented experience. For many patients who have experienced absence, the analyst and the analytic setting are subjected to the patient's unconscious efforts to destroy and negate meaning and relatedness. For the analyst to be "used" as an object to be destroyed and to survive destruction, he must become a subject in the mind of the patient and in his own mind as analyst within the intersubjective field...

No abstract text is available yet for this article.

No abstract text is available yet for this article.

No abstract text is available yet for this article.

No abstract text is available yet for this article.